Provider Demographics
NPI:1578570420
Name:SILVERT, MICHAEL EVAN (DMD,MS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:EVAN
Last Name:SILVERT
Suffix:
Gender:M
Credentials:DMD,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 LINCOLNWAY
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-5409
Mailing Address - Country:US
Mailing Address - Phone:219-462-7571
Mailing Address - Fax:219-462-1682
Practice Address - Street 1:601 LINCOLNWAY
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-5409
Practice Address - Country:US
Practice Address - Phone:219-462-7571
Practice Address - Fax:219-462-1682
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12007660A1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics